| NPI | 1003202680 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS EDWARD TRITTSCHUH Program Director 419-295-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: OH 13116) |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2015-04-10 |